Towards dynamic planning and guidance of minimally invasive robotic cardiac bypass surgical procedures. (English)
Niessen, Wiro J. (ed.) et al., Medical image computing and computer-assisted intervention - MICCAI 2001. 4th international conference, Utrecht, the Netherlands, October 14‒17, 2001. Proceedings. Berlin: Springer (ISBN 3-540-42697-3). Lect. Notes Comput. Sci. 2208, 368-375 (2001).
Summary: Conventional open-heart coronary bypass surgery requires a 30-cm long incision through the breast-bone and stopping the beating heart, which inflict great pain, trauma and lengthy recovery time to patients. Recently, a robot-assisted minimally invasive surgical technique has been introduced to coronary bypass to minimize incisions and avoid cardiac arrest in order to eliminate the medical complications associated with open-heart surgery. Despite its initial success, this innovation has its own limitations and problems. This paper discusses these limitations and proposes a framework that incorporates image-guidance techniques into MIRCAB surgery. We present two aspects of our preliminary work; 1) A Virtual Cardiac Surgical Planning system developed to visualize and manipulate simulated robotic surgical tools within the virtual patient. 2) Our work towards the extension of the static planning system to a dynamic situation that would model the position, orientation and dynamics of the heart, relative to the chest wall, during surgery.